Edited by Russell W. Belk, Giana M. Eckhardt and Fleura Bardhi
Edited by Frank Boons and Andrew McMeekin
Elin M. Oftedal and Lene Foss
This chapter discusses how responsible start-ups are met in the health sector. Through following three companies, Voco, Cora and Medicus, we acquire insight into the world of challenges the entrepreneurs have when they introduce their technology/service to the healthcare sector. Using institutional theory, we look at the regulative, normative and cognitive dimension of the institutional framework. We use the term ‘institutional wall’ to denote a dense network of formal laws and regulation, informal norms and knowledge and beliefs that act as barriers for the entrepreneurs to access the market. We find that while there is a positive development in the regulative dimension: both the regulative and the normative dimension are set up to favour larger companies. The founders’ responses to the cognitive dimension indicate a lack of belief in Norwegian technology and thus tough access to finance.
A Global Resource
Edited by René von Schomberg and Jonathan Hankins
Empowering the Patient
Edited by Tatiana Iakovleva, Elin M. Oftedal and John Bessant
David B. Audretsch, Erik E. Lehmann and Albert N. Link
Within the span of a generation, innovation and entrepreneurship have emerged as two of the most vital forces in the economy and, even more broadly, in society (Link, 2017). It was not always that way. During the second industrial paradigm, or the era of mass production, particularly following World War II, innovation was barely on the radar screen of economics, management, and other social sciences. Rather, what mattered for economic performance was articulated concisely by the management scholar, Alfred Chandler (1990), in the title of his seminal analysis of firm competitiveness and productivity – Scale and Scope. Economic success lies in largescale production, which enabled companies to attain the highest levels of efficiency and productivity while reducing average cost to a minimum. The primacy of physical capital as the driving force underlying economic performance was mirrored at the macroeconomic level through the Solow (1956) model. Economic policy reflected the capital-driven economy with its focus on instruments to stimulate investment in physical capital. Innovation played at best a marginal role, which was considerably more than could be said for entrepreneurship. In an economy where scale and scope dictated competitiveness and efficiency, new and small firms were typically viewed as a burden on the economy, and they were characterized as constituting “sub optimal capacity,” meaning that they lacked sufficient scale to be efficient.